APC Toolkit

ANSIRH training of advanced practice clinicians using the APC Toolkit
cover of APC Toolkit
Providing Abortion Care: A Professional Toolkit for Nurse-Midwives, Nurse Practitioners, and Physician Assistants is the result of collaboration between the Abortion Access Project, ANSIRH, and the National Abortion Federation. The Toolkit is a professional guide for certified nurse-midwives, nurse practitioners and physician assistants in the United States who are either currently providing or would like to offer abortion care within their practices. It also offers background information, resources and guidelines for professional advancement regardless of a particular area of practice.


Executive Summary

Module One: Understanding Abortion Care

Section I. Abortion In Context

  1. An Overview of the Abortion Care Specialty
  2. Basic Types of Abortion Procedures
  3. Who Can Provide Abortion Care?


Section II. Advanced Practice Clinicians as Abortion Providers

  1. APCs within the Health Care System
  2. APCs’ History of Providing Comprehensive Women’s Health Care, Including Abortion
  3. Barriers to Abortion Provision by APCs


Module Two: Advancing Scope of Practice to Include Abortion Care

Section III. APC Practice Regulation: Roles of Legislatures, Licensing Boards, and Professional Organizations

  1. State Abortion Laws and APCs
  2. Credentialing Framework for APCs
  3. General Legal and Regulatory Requirements
  4. Understanding Scope of Practice
  5. Who Determines Scope of Practice
  6. How Individual APCs Can Participate in Scope of Practice Determinations
  7. Getting to Know Your Professional Community


Section IV. Advancing Abortion into APC Scope of Practice: Evidence and Methods

  1. Professional-Organization Position Statements on Abortion Care by APCs
  2. Essential Elements of Professional Practice That Establish APCs as Qualified Providers of Abortion Care
  3. Evidence of Education and Training in Abortion Care
  4. Evidence of Legislative, Legal & Regulatory Environments: Provider Restrictions and Legal Strategies for Establishing Abortion as within APC Scope of Practice
  5. Applying the Evidence: How Professional and Licensing Boards Assess or Advance Scope of Practice
  6. Strategies for Working with State APC Regulatory Boards
  7. Case Studies: Montana, New York, Oregon, Arizona, and Alaska


Section V. Becoming Clinically Competent and Documenting Competency in Abortion Care

  1. Specialty Education and Training in Abortion Care: Opportunities and Resources
  2. The Professional Portfolio: Proactive Documentation of Professional Credentials
  3. Case Study: Developing a Portfolio in Response to a Challenge